The Spine
This sensation originates on the opposite side of the spinal cord from where it is felt.
Pain
You are treating a patient with a laceration to the neck. What is you initial plan to manage this injury?
Gloved hand then occlusive dressing
Swelling and pooling of blood within the fascia of muscle will most likely lead to what condition?
You are assessing a patient complaining of shortness of breath with a respiratory rate of 24. You auscultate hyperresonance on percussion to the left chest. The patient is GCS 4,5,6, and has no JVD or tracheal deviation. What task should you immediately perform?
administer high flow oxygen (NRB)
What is the best justification for a thorough assessment of a patient with back injured patient?
To assess for other injuries (to not be distracted by one injury and miss other injuries)
You are treating a patient with severe back pain presenting with palpated spinal step off. What treatment should be minimized as much as possible to prevent additional injury?
Spine boarding / long boarding
The condition in which the fibrous pericardium does not stretch, thus the accumulation of blood exerts pressure to the heart
Cardiac tamponade / Pericardial tamponade
What bone can bleed the most with a closed fracture?
Pelvis
You are treating a spine-boarded patient who is 36 weeks pregnant when she suddenly loses consciousness becoming pale and clammy. What intervention should you consider performing?
Left lateral uterine displacement / left tilt of spine board
A complete displacement of bone ends from their normal joint placement
Dislocation
A partial or complete severing of the spinal cord
Transection
The head sits on the 2nd cervical vertebrae, accurately given this anatomic name.
Axis
Pleural decompression (needle decompression) can be done in which two anatomical locations?
2nd intercostal midclavicular
5th intercostal midaxillary (or anteroaxillary)
What lung sounds and neck vein presentation would the paramedic find in a hemothorax?
Diminished / dull to percussion sounds
Flat neck veins
Fanning of the toes reflex
Babinski
In which section of the spinal column does the phrenic nerve exit the CNS?
Cervical spine
A head injured patient with a temperature of 104 degrees has a high suspicion of what part of their brain injured?
Pericardial tamponade and a tension pneumothorax both present with JVD and tracheal deviation. What is the biggest assessment a paramedic should perform to distinguish between the two in the field?
Auscultate heart tones/lung sounds
You are treating an adult patient who has been pinned under a tree for more than 20 minutes. Which 2 ALS tasks should be completed prior to removing the tree?
ECG/EKG and administer sodium bicarbonate
A female patient who was in a head-on collision yesterday is now complaining of hematuria and severe abdominal pain. Which organ is most likely injured?
Kidney
The name associated with the sacral plexus (also refers to the nerve located here)
Sciatic
Fracture involving both maxilla and nasal bones
Le Forte II
With a tracheobronchial injury, most disruptions are anatomically located in which section of the airway?
Carina
A trauma patient has shallow respiration and no movement or sensation from the shoulders down. Skin is warm and dry below the neck. What type of shock is this and what major life-threatening symptom might you see that you can attempt to treat in the field with a challenge.
Neurogenic shock and hypotension
Severe tearing pain in the chest radiating to the back could indicate a TAA or AAA. What diagnostic finding would confirm this diagnosis?
Unequal blood pressures on either arm